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Individual

BRYAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
8240 W MOUNT HOPE HWY, GRAND LEDGE, MI 48837-9409
(517) 243-1083
Mailing address
8240 W MOUNT HOPE HWY, GRAND LEDGE, MI 48837-9409

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704298131
MI

Other

Enumeration date
04/04/2024
Last updated
04/04/2024
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